Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$25,138.47
2024
Average charge
$163,859.36
Hospital list price
Stays
1,005
64 hospitals
Medicare paid
$25.3M
For these stays
For DRG 515 (other musculoskeletal system and connective tissue o.r. procedures with mcc), Medicare paid $25,138.47 per hospital stay on average in 2024. Hospitals charged $163,859.36 on average, and the total payment including the patient's share and other payers was $28,740.70. In 2023 Medicare paid $24,169.39.
1,005 Medicare stays were billed as DRG 515 at 64 hospitals in 2024, and Medicare paid $25.3M for them.
Among states with at least 50 stays, California had the highest average Medicare payment for DRG 515 ($47,115.25) and Virginia the lowest ($19,640.32).
Adventhealth Orlando in Orlando, FL had the most Medicare stays for DRG 515 in 2024: 42, with an average Medicare payment of $22,756.74.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Adventhealth Orlando Orlando, FL · AdventHealth | 42 | $249,465.07 | $35,431.55 | $22,756.74 |
| Riverside Methodist Hospital Columbus, OH · Ohiohealth | 40 | $120,299.33 | $24,992.45 | $23,166.40 |
| Houston Methodist Hospital |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| Florida | 9 | 160 | $170,032.39 | $21,628.32 |
| Massachusetts | 5 | 86 | $94,744.60 | $28,209.66 |
| Texas | 6 | 83 | $217,256.36 | $20,849.66 |
| Illinois | 5 | 63 |
All diagnosis groups: Medicare hospital stays by DRG.
Official US government data on Original Medicare hospital stays, published once a year. Hospitals with fewer than 11 stays in this group are not published. Total payment adds the patient's share and payments by other insurers to the Medicare payment.
| 25 |
| $213,541.32 |
| $27,473.64 |
| $23,363.12 |
| Massachusetts General Hospital Boston, MA · Mass General Brigham | 25 | $133,313.80 | $38,319.44 | $33,057.04 |
| NYU Langone Hospitals New York, NY · NYU Langone Health | 24 | $291,897.88 | $45,443.88 | $38,885.04 |
| Cjw Medical Center Richmond, VA · HCA Healthcare | 22 | $377,797.27 | $20,688.95 | $19,487.27 |
| Memorial Mission Hospital and Asheville Surgery Ce Asheville, NC · HCA Healthcare | 22 | $90,357.36 | $22,036.23 | $20,416.82 |
| Deaconess Hospital Inc Evansville, IN · Deaconess Health System | 22 | $81,072.14 | $21,387.55 | $19,976.45 |
| South Shore Hospital South Weymouth, MA · South Shore Health System | 22 | $46,976.00 | $27,087.00 | $22,351.77 |
| Baptist Health Medical Center - Jacksonville Jacksonville, FL · Baptist Health | 20 | $100,651.90 | $24,431.70 | $20,596.00 |
| Saint Francis Hospital, Inc Tulsa, OK · Saint Francis Health System | 20 | $73,806.25 | $23,567.70 | $18,411.00 |
| Henrico Doctors' Hospital Richmond, VA · HCA Healthcare | 20 | $297,001.50 | $21,604.25 | $19,509.60 |
| Mayo Clinic Hospital Rochester Rochester, MN · Mayo Clinic | 19 | $130,838.42 | $39,255.74 | $32,751.74 |
| HCA Florida North Florida Hospital Gainesville, FL · HCA Healthcare | 18 | $215,170.44 | $25,447.22 | $23,328.83 |
| Wellstar Kennestone Regional Medical Center Marietta, GA · WellStar Health System | 18 | $250,329.61 | $29,948.56 | $26,999.78 |
| Harborview Medical Center Seattle, WA · UW Medicine | 18 | $155,068.22 | $35,604.28 | $32,214.61 |
| Parkview Regional Medical Center Fort Wayne, IN · Parkview Health System | 17 | $75,685.59 | $23,226.71 | $22,006.35 |
| Munson Medical Center Traverse City, MI · Munson Healthcare | 17 | $91,137.35 | $27,257.76 | $26,035.47 |
| Lexington Medical Center West Columbia, SC · Lexington Medical Center | 17 | $105,402.71 | $21,281.12 | $19,990.65 |
| AdventHealth Littleton Littleton, CO · AdventHealth | 17 | $168,863.76 | $22,037.94 | $20,789.94 |
| Hillcrest Medical Center Tulsa, OK · Ardent Health | 16 | $174,448.63 | $23,229.19 | $21,400.06 |
| St Josephs Hospital Tampa, FL · Baycare Health System | 16 | $109,287.13 | $23,644.44 | $22,845.31 |
| Northshore University Healthsystem - Evanston Hospital Evanston, IL · NorthShore Edward-Elmhurst Health | 16 | $97,665.19 | $26,532.56 | $23,774.19 |
| Holmes Regional Medical Center Melbourne, FL · Health First | 16 | $158,030.50 | $22,736.00 | $20,824.00 |
| Cedars-Sinai Medical Center Los Angeles, CA · Cedars Sinai Health System | 16 | $403,408.25 | $38,084.13 | $33,702.50 |
| $108,775.56 |
| $22,265.27 |
| California | 4 | 57 | $419,598.05 | $47,115.25 |
| Kansas | 4 | 57 | $160,439.05 | $20,976.82 |
| Virginia | 3 | 53 | $286,639.55 | $19,640.32 |
| Georgia | 3 | 41 | $200,220.78 | $23,689.46 |
| Ohio | 1 | 40 | $120,299.33 | $23,166.40 |
| Michigan | 3 | 40 | $69,929.63 | $24,724.37 |
| Indiana | 2 | 39 | $78,724.15 | $20,861.28 |
| New York | 2 | 37 | $267,221.95 | $38,196.03 |
| Oklahoma | 2 | 36 | $118,536.19 | $19,739.47 |
| Minnesota | 2 | 31 | $125,097.48 | $30,182.45 |
| Kentucky | 2 | 23 | $99,955.65 | $20,227.04 |
| North Carolina | 1 | 22 | $90,357.36 | $20,416.82 |
| Washington | 1 | 18 | $155,068.22 | $32,214.61 |
| Colorado | 1 | 17 | $168,863.76 | $20,789.94 |
| South Carolina | 1 | 17 | $105,402.71 | $19,990.65 |
| Delaware | 1 | 15 | $94,707.53 | $23,243.87 |
| Tennessee | 1 | 14 | $108,587.57 | $21,735.64 |
| Mississippi | 1 | 12 | $84,745.00 | $20,302.83 |
| Pennsylvania | 1 | 11 | $93,798.18 | $22,807.82 |
| Iowa | 1 | 11 | $59,553.55 | $17,655.91 |
| Maryland | 1 | 11 | $80,911.73 | $69,843.36 |
| Nebraska | 1 | 11 | $90,001.82 | $24,060.73 |